Selected Quarterly Financial Information (Tables)

12 Months Ended

Dec. 31, 2020

Quarterly Financial Information Disclosure [Abstract]

Summary of Company's Selected Quarterly Financial Information

The following tables set forth a summary of the Company’s selected quarterly financial information for each of the four quarters ended December 31, 2020 and 2019 (in thousands, except for per share data):


	2020 Quarters
	First			Second			Third			Fourth
Net revenue	$	441,245		$	415,441		$	460,635		$	416,630

Operating expenses:
Practice salaries and benefits		316,279			282,985			309,904			284,772
Practice supplies and other operating expenses		23,842			20,173			22,440			24,235
General and administrative expenses		67,442			60,488			66,346			54,671
Depreciation and amortization		6,803			6,751			7,195			7,692
Transformational and restructuring related expenses		16,076			10,479			34,291			12,955

Total operating expenses		430,442			380,876			440,176			384,325

Income from operations		10,803			34,565			20,459			32,305
Investment and other (expense) income		(1,046	)		3,576			10,534			4,849
Interest expense		(27,665	)		(28,265	)		(27,250	)		(27,302	)
Equity in earnings of unconsolidated affiliates		494			305			282			504

Total non-operating expenses		(28,217	)		(24,384	)		(16,434	)		(21,949	)

(Loss) income from continuing operations before income taxes		(17,414	)		10,181			4,025			10,356
Income tax provision		(1,085	)		(3,097	)		(6,677	)		(5,869	)

(Loss) income from continuing operations		(18,499	)		7,084			(2,652	)		4,487
Loss from discontinued operations, net of tax		(213	)		(679,520	)		(38,392	)		(68,783	)

Net loss	$	(18,712	)	$	(672,436	)	$	(41,044	)	$	(64,296	)

Per common and common equivalent share data (1):
(Loss) income from continuing operations:
Basic	$	(0.22	)	$	0.08		$	(0.03	)	$	0.05

Diluted	$	(0.22	)	$	0.08		$	(0.03	)	$	0.05

Loss from discontinued operations:
Basic	$	—		$	(8.14	)	$	(0.46	)	$	(0.81	)

Diluted	$	—		$	(8.11	)	$	(0.46	)	$	(0.81	)

Net loss:
Basic	$	(0.22	)	$	(8.06	)	$	(0.49	)	$	(0.76	)

Diluted	$	(0.22	)	$	(8.03	)	$	(0.49	)	$	(0.76	)

Weighted average common shares:
Basic		82,799			83,490			83,862			84,316

Diluted		82,799			83,744			83,862			85,082

(1)	Basic and diluted per share amounts are computed for each of the periods presented. Accordingly, the sum of the quarterly per share amounts may not agree with the full year amount.


	2019 Quarters
	First			Second			Third			Fourth
Net revenue	$	427,092		$	439,154		$	454,913		$	458,600

Operating expenses:
Practice salaries and benefits		294,753			284,627			301,306			300,073
Practice supplies and other operating expenses		24,705			25,402			22,581			23,223
General and administrative expenses		59,023			63,011			63,284			59,194
Depreciation and amortization		6,183			6,239			6,408			7,101
Transformational and restructuring related expenses		2,439			16,820			12,766			28,865

Total operating expenses		387,103			396,099			406,345			418,456

Income from operations		39,989			43,055			48,568			40,144
Investment and other income		1,249			726			802			909
Interest expense		(30,349	)		(31,013	)		(29,909	)		(27,657	)
Equity in earnings of unconsolidated affiliates		464			503			786			517

Total non-operating expenses		(28,636	)		(29,784	)		(28,321	)		(26,231	)

Income from continuing operations before income taxes		11,353			13,271			20,247			13,913
Income tax benefit (provision)		1,514			(6,744	)		(7,360	)		(3,986	)

Income from continuing operations		12,867			6,527			12,887			9,927
Loss from discontinued operations, net of tax		(255,739	)		(14,772	)		(1,268,803	)		(596	)

Net (loss) income	$	(242,872	)	$	(8,245	)	$	(1,255,916	)	$	9,331

Per common and common equivalent share data (1):
Income from continuing operations:
Basic	$	0.15		$	0.08		$	0.16		$	0.12

Diluted	$	0.15		$	0.08		$	0.16		$	0.12

Loss from discontinued operations:
Basic	$	(2.97	)	$	(0.18	)	$	(15.39	)	$	(0.01	)

Diluted	$	(2.96	)	$	(0.18	)	$	(15.31	)	$	(0.01	)

Net (loss) income:
Basic	$	(2.82	)	$	(0.10	)	$	(15.23	)	$	0.11

Diluted	$	(2.81	)	$	(0.10	)	$	(15.15	)	$	0.11

Weighted average common shares:
Basic		86,073			83,234			82,441			82,592

Diluted		86,545			83,689			82,883			83,288

(2)	Basic and diluted per share amounts are computed for each of the periods presented. Accordingly, the sum of the quarterly per share amounts may not agree with the full year amount.